• Home
  • NEW DAY MEDICINE
  • 12 (74) 2024
  • 32 -12 (74) 2024 - Nargiza Mirkhamidova, Adibakhon Usmankhodjaeva - INNOVATIVE METHODS FOR MANAGING SEXUAL HEALTH CHALLENGES IN WOMEN WITH NEUROLOGICAL DISORDERS

32 -12 (74) 2024 - Nargiza Mirkhamidova, Adibakhon Usmankhodjaeva - INNOVATIVE METHODS FOR MANAGING SEXUAL HEALTH CHALLENGES IN WOMEN WITH NEUROLOGICAL DISORDERS

INNOVATIVE METHODS FOR MANAGING SEXUAL HEALTH CHALLENGES IN WOMEN WITH NEUROLOGICAL DISORDERS

Nargiza Mirkhamidova - Tashkent Medical Academy

Adibakhon Usmankhodjaeva - Tashkent Medical Academy

Resume

Objective: The state of sexual health plays a crucial role in the overall well-being of women, though it can be significantly affected by complex neurological disorders. In recent years, various methods have been introduced to improve sexual functioning in women dealing with such conditions. This study focuses on implementing specialized approaches to address sexual health concerns in women aged 25 to 66 years (mean age 45±11,6) who are affected by neurological disorders like multiple sclerosis, traumatic brain injury, and stroke, often accompanied by depression. Methods: The study involved a group of 133 women experiencing sexual health challenges associated with neurological disorders. Their condition was assessed both before and after the implementation of a comprehensive management plan, using four validated questionnaires. The management strategy included psychotherapeutic support, biofeedback training, transcutaneous tibial nerve stimulation (TTNS), and Kegel device therapy to strengthen pelvic floor muscles. Additionally, counseling was provided to address emotional and psychological aspects linked to chronic illnesses and sexual health concerns. Statistical analysis was conducted to evaluate changes in the questionnaire results, with significance assessed through p-values. Results: The intervention yielded significant improvements in key indicators of sexual function and psychological well-being among the participants. Following the implementation of the comprehensive management plan, there was a marked enhancement in sexual function, evidenced by a significant p-value of < 0.0001. The Mean±SD index for female sexual function scores increased from 17.5 ± 4.8 to 21.3 ± 5.6. Additionally, Beck's test scores demonstrated a significant reduction, decreasing from 24.7 to 15.9. The rate of sexual health concerns improved notably, declining from 35.3 ± 10.8 to 6.1 ± 5.8. Functional independence scores also rose, from 107.6 ± 19.6 to 117.6 ± 12.2. These findings underscore the effectiveness of the multidisciplinary management strategy in addressing sexual health challenges and improving mental well-being in women with neurological disorders and depression. Statistical analysis confirms a strong positive relationship between the comprehensive management plan and significant improvements in the outcomes for the study group. Conclusion: The results demonstrated that a comprehensive management approach, integrating various disciplines such as physiotherapy, psychotherapy, and psychological support, significantly improved sexual function in women with neurological disorders accompanied by depression.

Key words: female issues related to sexual health, FSDR, FSFI, Beck's Depression Inventory, biofeedback, Kegel device, transcutaneous tibial nerve stimulation.

First page

175

Last page

181

For citation:Nargiza Mirkhamidova, Adibakhon Usmankhodjaeva - INNOVATIVE METHODS FOR MANAGING SEXUAL HEALTH CHALLENGES IN WOMEN WITH NEUROLOGICAL DISORDERS//New Day in Medicine 12(74)2024 175-181 https://https://newdayworldmedicine.com/en/new_day_medicine/12-74-2024

List of References

  1. Kinzy T, Domingo S, Stone L, Thompson N, Gales S, Sullivan A. Factors Associated with Sexual Dysfunction in Individuals with Multiple Sclerosis: Implications for Assessment and Treatment. //International Journal of MS Care. 2018;20(4):191-197.
  2. Ghajarzadeh M, Jalilian R, Mohammadifar M, Azimi A, Sahraian M. Sexual function in women with multiple sclerosis. //Acta Medica Iranica. 2014;52(4):315-318.
  3. Montalvan V, Ulrich A, Tirschwell D, Zunt J. Assessing sexual dysfunction among stroke survivors and barriers to address this issue by physicians at a Latin American reference hospital. //Clinical Neurology and Neurosurgery. 2021;20:205.
  4. Strizzi J, Olabarrieta Landa L, Pappadis M, Olivera S, Valdivia Tangarife E, Fernandez Agis I, Perrin P, Arango-Lasprilla J. Sexual Functioning, Desire, and Satisfaction in Women with TBI and Healthy Controls. //Behavioural Neurology. 2015;247-479 p.
  5. Calabrò R and Bramanti P. Post-stroke sexual dysfunction: an overlooked and under-addressed problem. //Disability and Rehabilitation. 2014;36(3):263-264.
  6. Low MA, Power E, McGrath M. Sexuality after stroke: Exploring knowledge, attitudes, comfort and behaviours of rehabilitation professionals. //Ann Phys Rehabil Med. 2022;65:2.
  7. Richards A, Dean R, Burgess G, Caird H. Sexuality after stroke: an exploration of current professional approaches, barriers to providing support and future directions. //Disability and Rehabilitation. 2016;38(15):1471-82.
  8. Rochera M. Physiotherapy in treating sexual pain disorders in women: a systematic review. //Advances in Sexual Medicine. 2016;6:26-32.
  9. Bo, K. Can Pelvic Floor Muscle Training Prevent and Treat Pelvic Organ Prolapse? //Acta Obstetricia et Gynecologica Scandinavica. 2006;85:263-268.
  10. Yucha Carolyn B. and Montgomery, Doil, "Evidence-based practice in biofeedback and neurofeedback" (2008). Faculty Publications (N). Paper 1.
  11. Mørkved Siv P; B, Kari, PT; Fjørtoft, Toril P. Effect of Adding Biofeedback to Pelvic Floor Muscle Training to Treat Urodynamic Stress Incontinence. Obstetrics Gynecology. 2002;100(4):730-739.
  12. Blok BF, Schneider MP, Gross T, et al. Tibial Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Systematic Review. European Urology. 2015;68(5):859-67.
  13. Stratton H, Sansom J, Brown-Major A, Anderson P, et.al. Interventions for sexual dysfunction following stroke. //Cochrane Database Syst Rev. 2020;5(5).
  14. Wagner A, Franzese K, Weppner J, Kwasnica C, Edinger J, Linsenmeyer M. 43 - Traumatic Brain Injury. //Braddom's Physical Medicine and Rehabilitation. 2021; 916-953 p.
  15. Carpenter J, Reed S, Guthrie K, et.al. Using an FSDS-R Item to Screen for Sexually Related Distress: A MsFLASH Analysis. //Sexual Medicine. 2015;3(1):7-13.
  16. Shahraki Z., Tanha F.D. Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. //BMC Women's Health 2018;18:92.
  17. Boehmer U, Timm A, Potter J, Ozonoff A. Applying the Female Sexual Functioning Index to sexual minority women. //J Womens Health (Larchmt). 2012;21(4):401-9.
  18. Navarro-Brazález B, Sánchez-Sánchez B, Arranz-Martín B, et.al. The Female Sexual Function Index: Transcultural Adaptation and Psychometric Validation in Spanish Women. //International Journal of Environmental Research and Public Health. 2020;17(3):994.
  19. Rosen R, Brown C, Heiman J, Meston C, Leiblum S, et.al. The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual Function. //Journal of Sex Marital Therapy. 2000;26(2):191-208.
  20. Lirio-Romero C, Díaz-Ruiz MD, Romero-Galisteo RP, et al. Vibration or Transcutaneous Tibial Nerve Stimulation as a Treatment for Sexual Dysfunction in Women with Spinal Cord Injury: Study Protocol for a Randomized Clinical Trial. //International Journal of Environmental Research and Public Health. 2022;19:3.

    file

    download